American Association of Professional Hypnotherapists

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Membership Application

Use this form to apply for membership in AAPH. This will also create a web site login for you to access the AAPH Library and other member benefits.
Required fields are marked with a red asterisk. Applications are typically processed with 1-2 weeks, and you will be notified of the status by email after when processing is completed.

PLEASE NOTE: A minimum of 100 hours of certified* training in hypnotherapy is required to qualify for membership in AAPH, and at least 50 of those hours must be in-person / in-classroom, instructor-led training hours. Please list the school, course title, location (city, state, etc.), hours, and date completed for a minimum of 100 hours in the "Certifications" field of the application. If this information isn't present in your application, we may request this information in order to complete the processing of your application.

*Certified meaning you have a signed certificate from the course(s). Not all training programs qualify as approved by AAPH.

Username *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, apostrophes, and underscores.

E-mail address *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Contact Information

Professional Name *

Company or Business Name

Address

This is the public address of your office. Do not list your home address here. You will have an opportunity to enter a separate (and private) shipping address later, if needed, for membership certificate and orders.

Country

Address 1 *

Address 2

City *

State *

ZIP code *

Business Phone

The number clients can call to schedule appointments, etc.

Public Email

Leave blank if you prefer to hide your email address. The email address you use here can be different than the email used for AAPH communications and billing, which is always kept private.

Your Business Website

Title

The link title is limited to 128 characters maximum.

URL

Professional Information

Primary Profession

E.g., Clergy, Hypnotherapist, Psychotherapist, Counselor, Nurse Practitioner, Medical Doctor, Naturopathic Doctor, Chiropractor, etc.

Year began using hypnotherapy

Enter a year, e.g. 1995

Hypnotherapy Use Status *

Is hypnotherapy a full-time occupation for you? Part-time? Or do you use it as an adjunct in your primary profession?

I have programs or deep experience with

Chronic Pain

Clergy / Pastoral counseling

Clinical social work

Counseling

Dentistry

Forensic / Law enforcement

Inner Child

Learning Skills

Marriage and family therapy

Medicine / healing arts

Past Life Regression

Phobias / Fears

Psychotherapy

Smoking Cessation

Sports Performance

Stress / Anxiety

Weight Control

My Specialty is

E.g., Weight Control. List your #1 best specialty that you would like to be known for.

Certifications

List all relevant certifications, professional memberships, state licenses, etc. Include the names of the schools or teachers that issued the certificates, and optionally the year you received the certificate.
DATE - SCHOOL - COURSE NAME - TOTAL HOURS
EXAMPLE: 29-MAR-2009 Palo Alto School of Hypnotherapy - Hypnotherapy 101 Certification Course - 50 hours

AAPH Options

Membership Status *

Examination Preference

Publish my listing in the Public Directory

Would you like your information to appear in our online directory and searchable by Google and other search engines?

Training and Background

instructions

In order to qualify for professional member status in AAPH, you must have a minimum of 100 hours of training in hypnotherapy, which includes at least 50 hours of live, classroom, face-to-face instructor-led training specifically in hypnotherapy.

I have been trained as a hypnotherapist.

Hours of instructor-led, live classroom training in hypnotherapy

This number can be vetted at anytime so be sure you have documentation, school staff, etc. that can back up this number. This will be displayed to the public in search results and in the member profiles. Do not include home study hours, Internet course hours or self-study hours in this number.

Hours of home study or Internet course work

Do not include time reading books that aren't part of a course from a school or teacher. Include hours spent working on home study programs, correspondence programs, and Internet courses. You can include testing hours.

Teaching

Check all that apply.

I teach clients hypnosis skills all the time.

I teach hypnosis workshops and seminars.

I train hypnosis skills for organizations and corporations.

I am a staff member at a hypnotherapy school.

I train and certify hypnotherapists.

I am a speaker and presenter about hypnosis.

Statement

Have you ever been disciplined, or are you currently under investigation, by any legal or licensing board? *

I have read and agree to abide by the AAPH Code of Ethics.

I certify that I have read and agree to all the terms of application, below.

I certify that the information I have provided in this application is true, correct, and complete. AAPH reserves the right to verify the information provided, and I give AAPH permission to contact the above mentioned schools and certifying agents, and to investigate my background and claims as AAPH sees fit. I may be asked to provide additional documentation. I agree that I will notify AAPH within 15 days in writing of any civil complaint or criminal conviction that is made against me. I agree to hold harmless and indemnify AAPH and its officers, directors, employees, and agents for any misrepresentation of my credentials and for all claims, loss, judgment, or expense. I understand that in the case of termination of membership for any violation of the Code of Ethics, criminal conviction, or public complaints, there will be no refunds of member dues, member fees, application fees, services purchases, nor of any other payments made by me.

Sign this application by entering your full name and the date. *

E.g., "John Richard Smith 10/24/2014"

Leave this field blank

AAPH Mission

The American Association of Professional Hypnotherapists is a worldwide organization that provides knowledge, tools and resources to professional hypnotherapists in order to support their success in small business and in the hypnotherapy industry.

Join AAPH

Learn more about the 3-steps to join AAPH.

You can join as a student member, or get the full benefits of professional membership.

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News & Information

AAPH Hypnotherapy Blog

Hypnotherapy in the News

Articles about Hypnotherapy

Contact AAPH

Contact AAPH
1430 Willamette St. #47
Eugene, OR 97401-4049
(458) 215-2424
• • •
Office hours are 9am-5pm Pacific Time
Monday thru Friday
(closed holidays)

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Materials may be used with permission only.
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